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General NPI Number Information
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NPI Number | 1982824504
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Entity Type | Individual
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Provider Name | VALERIE LYNN ACKMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 3600 S LOGAN ST STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3766
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Country | US
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Telephone | 303-839-7980
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Fax | 303-839-7936
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Provider Business Mailing Address
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Address Line | 5082 W 109TH CIR
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City | WESTMINSTER
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State | CO
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Zip | 80031-2180
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Country | US
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Telephone | 720-402-2005
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 432
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0005690
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License Number State | CO
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